umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Cleaning question

    Housekeeping cleans the area. Our isolettes go to biomed for a good scrub down (and as a side note our isolettes are changed weekly on any infant that will tolerate it), cribs get cleaned by our techs...
  2. umcRN

    Special Equipment Used in Pediatrics/PICU

    Jan I need to come work with you!
  3. umcRN

    Special Equipment Used in Pediatrics/PICU

    That's awesome! We've JUST started doing Berlin's about a year ago...those kids still stay in our ICU until transplant, can't even go to the floor, we're a bit behind the times I guess, I'm thinking...
  4. umcRN

    Pediatric ICU Questions!

    agree take the peds course! Much better to have that pediatric experience if you want to go into Peds. I work in a pedi CICU and worked NICU two years prior to that. I went into the NICU as a new...
  5. umcRN

    Transport

    We have a transport team. These nurses have at least 5 years NICU experience and then an extensive orientation. It is seperate from bedside nursing and they must apply just like any other position....
  6. umcRN

    Lab draws, redraws and use of IStat or Gem

    The lab does not come into our NICU, we draw our own labs via heel stick or arterial line/broviac. If the baby has neither and needs more blood drawn than can come from a heel the MD or transport RN...
  7. I usually feel like I have helped my patients, and sometimes their families. I work in a pediatric cardiac intensive care unit and I love
  8. umcRN

    Pediatric New Graduate Internship Programs?

    I worked two years in their NICU. You orient when your preceptor works. Nights, weekends, you do get out of holidays though. You may PM me if you want more details To the previous poster I don't know...
  9. umcRN

    Special Equipment Used in Pediatrics/PICU

    The Berlin Heart would be a great one to talk about if you wanted something really interesting. It's a ventricular assist device designed specifically for children to bridge them to heart transplant....
  10. umcRN

    Intralipid (20%) infusion administration

    incompatible with everything in my unit apparently. Except for lasix, and TPN if that's the only thing you have going. We do not run it with any other drips, inotropes, sedation etc. In the NICU...
  11. umcRN

    Overtime

    Rarity, ha, for the past 12 weeks my hospital has done everything shy of offering full-paid trips to vegas to get people into work! Seriously, anytime, any day, they are literally bending over...
  12. Western MA. As others have said Coley Dickinson, Baystate, Mercy, there is also Holyoak medical center, Berkshire, Bayview, Franklin, Nobel, North Adams. Those are the hospitals UMASS uses for...
  13. umcRN

    The cases that break your heart

    1 year old previously healthy. Hx of few days low grade fever, parents brought to PMD and were sent home to let it run it's course. Next day kiddo didn't wake up, 911 called, taken to ER, respiratory...
  14. umcRN

    Ever had a Dr. mad at you?

    Yup. had a doctor mad at me for suggesting that the parents of a baby, who already knew how to drop and NG (not taught by me by the way) take him home with that since feeding was his only lingering...
  15. umcRN

    MRSA colonization

    Parents tend not to mind either. While my NICU has about 48 of 56 rooms private and the rest of the hospital has majority private rooms there are a FEW paired rooms, MRSA kids are never in double...
  16. There is the CPN and the RN-BC but those are specific to peds not just PICU, regardless, quite a few nurses in my icu have obtained them, probably more so for the $$ incentive for being
  17. umcRN

    How early to apply?

    It may vary by hospital but when I was a new grad in 2009 I applied in December of 2008, interviewed & was hired in January 2009, graduated in May and started my job in August. So for an August...
  18. umcRN

    Transplant Coordinator?

    Thanks for that info! I was unsure of where to look, definitely things to start thinking about. I'm on my fourth year in iCU but definitely planning on staying bedside for while but figured if I need...
  19. umcRN

    Simultaneous Electrolyte Administration

    Interesting. I work peds and we actually dilute our Mag in our K! But like others have said, you are the traveller and must abide to the protocols inf which ever facility you are in. I am really...
  20. umcRN

    Sedation in ICU... your opinions/ experiences?

    I can attest to this as a neuro ICU patient! No matter that I'd just had my head carved into, bits and pieces removed, screwed & stapled back together. I still needed to know what the date was,...
  21. umcRN

    EPI Shortage!

    Blahh! My hospital now has a "Code Epi" shortage. What??? We draw up epi like it's candy in my cicu (ok so I can see why there might be a shortage) but now we are having to draw it up, dilute it then...
  22. umcRN

    EPI Shortage!

    I can't recall the name of the company, but I was talking to one of our pharmacists yesterday and it's because of the contaminated drugs from that New England pharmacy company. All the sister...
  23. umcRN

    EPI Shortage!

    We also have a bristojet of epi at every bedside, and a PRN code dose ordered on all patients. Typically it's not given until the MD is at the bedside, but in certain kiddos we may give it before the...
  24. umcRN

    Question about R.N

    What about this situation made you upset? Was it how sick the child was? Because most patients in the CTICU are infants, and they are kept in small "warmer" beds. That does not mean the nurses are not...
  25. umcRN

    Pediatric cardiac surgery ICU nurses, anyone?

    I have not done any ICHF trips yet but know a few people who have done them. They love them and tend to go back for more. I hope to do one